ALEXANDRA EDELMAN (MD) – Dermatology Physician, NPI 1700240249
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
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Provider Addresses for ALEXANDRA EDELMAN (MD)
5th Avenue, Cortez Hill, Banker's Hill, San Diego, San Diego County, California, 92101, United States
SAN DIEGO, CA 921033107
Phone: (619) 542-0013
Type: Mailing
955 W IMPERIAL HWY STE 200
BREA, CA 928213812
Phone: (714) 626-6310
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $2,317.
Total Amount is formed as General ($2,317) + Research ($0) + Ownership ($0) = $2,317.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($593).
Total Amount
$2,317
General + Research + Ownership
Payments
65
Total payment records
General Amount
$2,317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $593 |
| UCB, Inc. | $373 |
| ABBVIE INC. | $310 |
| Janssen Biotech, Inc. | $175 |
| Sun Pharmaceutical Industries Inc. | $151 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200903000667 | I | Dermatology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 795 | 192 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 317 | 262 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 249 | 227 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 138 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 158 | 148 | $0 |
Insurance plans in this area (ZIP 92103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | FL | |
| Dermatology, Pathology | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| General Practice, Radiation Oncology, General Practice | CA |
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